facebook tracking Signs and symptoms with major complications cost in New Jersey: 6 hospitals compared (DRG 947)

Signs and symptoms with major complications in New Jersey

What 6 hospitals in New Jersey charged and were paid for a Medicare hospital stay for signs and symptoms with major complications (DRG 947), from 2024 Medicare claims.

DRG 947 Inpatient 2024 Medicare data
Average charge $83,243 Hospital list price billed
Average payment $10,714 Medicare + patient + other payers
Medicare paid $9,106 Average per stay
State rank #1 of 13 1 = lowest average payment

Hospitals in New Jersey billed an average of $83,243 for signs and symptoms with major complications, about 7.8 times the average total payment of $10,714. That payment is 29% below the U.S. average of $15,144.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $10,714Billed $83,243

About 13¢ was paid for every $1 hospitals in New Jersey billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New Jersey:

New Jersey hospitals: signs and symptoms with major complications

Every New Jersey hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Community Medical CenterToms River 20 $73,128 $11,022 $9,285
Morristown Memorial HospitalMorristown 14 $73,605 $11,670 $10,174
Shore Memorial HospitalSomers Point 14 $60,224 $10,230 $9,046
Virtua West Jersey HospitalVoorhees 12 $99,626 $9,795 $8,764
Riverview Medical CenterRed Bank 12 $103,815 $11,362 $8,136
Somerset Medical CenterSomerville 11 $102,882 $9,850 $8,928
Advertisement

Lowest and highest payments in New Jersey

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Virtua West Jersey HospitalVoorhees, NJ$9,795
Somerset Medical CenterSomerville, NJ$9,850
Shore Memorial HospitalSomers Point, NJ$10,230
Community Medical CenterToms River, NJ$11,022
Riverview Medical CenterRed Bank, NJ$11,362

Highest

Morristown Memorial HospitalMorristown, NJ$11,670
Riverview Medical CenterRed Bank, NJ$11,362
Community Medical CenterToms River, NJ$11,022
Shore Memorial HospitalSomers Point, NJ$10,230
Somerset Medical CenterSomerville, NJ$9,850

Signs and symptoms with major complications in other states

Questions

How much does signs and symptoms with major complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for signs and symptoms with major complications (DRG 947) at 6 hospitals in New Jersey was billed at $83,243 on average, while the average total payment was $10,714, of which Medicare paid $9,106. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in New Jersey, average charges were 7.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.